Individual
DANIEL K BREITWIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1304 THE TRAILS DR, BLUE RIDGE, TX 75424-0079
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3813
TX
Other
Enumeration date
11/15/2011
Last updated
02/20/2020
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